DRUG - RELATED DEATH

Transcription

1 DRUG - RELATED DEATH Lithuania EVELINA PRIDOTKIENĖ D R U G, TA B A C C O A N D A L C O H O L C O N T R O L D E PA R T M E N T H E A D OF N AT I O N A L F O C A L P O I N T

2 Background: Since 2010 data on drug-induced deaths have been submitted by the General Mortality Register (GMR) of the Institute of Hygiene. Special drug related death registry do not exist in Lithuania Drug-induced deaths are those lethal cases where the direct cause of death recorded on the death certificate is the use of narcotic and psychotropic substances The national focal point receives full data from the GMR and is able to extract and report data according to EMCDDA definitions and recommendations Toxicology Laboratory of the State Forensic Medicine Service under the Ministry of Justice of the Republic of Lithuania provides toxicological information on drug related death cases

3 DRD in Lithuania GMR data, Institute of Hygiene

4 The drug-induced mortality rate among adults (aged 15 64) was 58,5 deaths per million in 2015 In 2015 information to General mortality register on DRD cases were reported: 112 cases by State Forensic Medicine Service under the Ministry of Justice 1 case by hospital 2 cases (death certificates) were received from Great Britain on Lithuania citizen s deaths

5 Gender distribution 2015 Most of the DRD cases in 2015 were male (105 cases) Average age in the time of death being Men 35 Woman 34,7 34,9 years 20 0 Male 10 Female The youngest was 19 years old The oldest 53 years old

6 Age distribution < >=65 Male Female Total According to age distribution, in 2015, the biggest number of deaths was in the young subgroup aged from 25 to 39 (83 individuals)

7 Break down by ICD Codes F X X X44 X61 X62 Total Male Female X 64 Y11 Y12 Y14 Total number of cases where the substances has been found Opiate/opiod 102 heroin/morphine 94 methadone 8 Amphetamine type stimulant 2 Cannabis/THC 1 Volatile substances 1 Unspecified 8

8 Number of cases with known toxicology Toxicological analyses were reported for 114 cases in 2015 (Male- 104, Female -10) 8, 7% 4, 4% 102, 89% Opioids: mostly heroin / morphine (or metabolites), 1 of them fentanyl and in 8 cases methadone Other drugs, non-opiates (2 cases amphetamine type substances, 1 THC/cannabis and 1 - volatile substances involved) Opioids (mostly heroin / morphine (or metabolites)) were the primary substances Mixed or unknown substances Other drugs, non-opiates In 79 DRD cases (69 percent of death cases with known toxicological analysis) showed also Alcohol inclusion Number with opiates (+any drug) Other drugs, nonopiates Mixed or unknown substances Male Female Total

9 The possible reasons of DRD cases increase in compare with previous years could be: Increased number of post-mortal analysis for drugs cases done by State Forensic Medicine Service under the Ministry of Justice. In 2015, the Toxicology Laboratory of the State Forensic Medicine Service under the Ministry of Justice of the Republic of Lithuania executed 6104 tests of dead bodies (in cases in cases, in cases), of them 3757 cases were analyzed for narcotic or psychotropic substances detection (in cases, in , cases) State Forensic Medicine Service under the Ministry of Justice improved toxicological analysis methods and tools in 2014 and 2015 it was widely used in high performance liquid chromatography with flight time (LC/TOF) and triple quadruple (LC/MSMS) methods

10 The possible reasons of DRD cases increase in compare with previous years could be: Also one of the reasons could be related with drugs (opioids) content and purity suddenly and unexpected for drug users change. Media published article about 11 drug overdoses deaths registered in Vilnius Roma community area (so called open drug use scene/ drugs distribution point ) in 2 weeks period. The Police explained this deaths, that it was related with sudden increase of sold heroin liquid purity/concentration typical heroin concentration was 7-10 percent, but during the deaths period sold heroin purity was much higher percent

11 Thank you for your attention Evelina Pridotkienė Drug, Tabacco and Alcohol control department Head of national focal point